Chrystala Smith

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2017042232 Issued in MO

Practice address

101 Adams St
Jefferson City, MO 65101-3058

Phone

(573) 556-6589

Fax

(573) 556-6294

NPI assigned

Nov 2, 2018

Last updated

Nov 2, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Chrystala Livingston Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541116800000",
    "number": "1942778485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N 2ND ST",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012832",
            "telephone_number": "636-224-1210",
            "fax_number": "636-946-0991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 ADAMS ST",
            "city": "JEFFERSON CITY",
            "state": "MO",
            "postal_code": "651013058",
            "telephone_number": "573-556-6589",
            "fax_number": "573-556-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRYSTALA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-02",
        "last_updated": "2018-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MO",
            "license": "2017042232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRYSTALA",
            "last_name": "LIVINGSTON",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bailey Jeanne Smalley, LMFT-T
• Serese Yvonne Smith-Haxton, MD
• Bonnie R Smith, M.D.
• Carol Amy Gamm Smith, M.A.
• Catherine Corrigan Smith, NNP
• Cynthia Diane Smith, LPN
• Douglas N. Smith, D.O.
• James Marion Smith, LPC
• Jenna Smith, LMSW
• Joanna P. Smith, PA-C

• Professional Counselor in Jefferson City, MO
• Providers in Jefferson City, MO by specialty
• Professional Counselor in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.